Individual
MRS. SHELBY ELEANOR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
501 GOPHER AVE, TOMAH, WI 54660
(608) 377-8365
Mailing address
943 GARLAND ST E # B13, WEST SALEM, WI 54669-3301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7268-26
WI
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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